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Updated: May 22, 2026

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
Published on: March 25, 2022
Endoscopic ultrasound-guided abscess drainage
Ganapathy A Prasad1, Shyam Varadarajulu
1Division of Gastroenterology-Hepatology, Mayo Clinic, 200 1st Street SW, Rochester, MN 55905-0002, USA.
Endoscopic ultrasound (EUS) offers a minimally invasive alternative for draining abdominal and pelvic abscesses. This approach shows promise in improving patient outcomes compared to traditional surgical or percutaneous methods.
Area of Science:
- Gastroenterology
- Interventional Endoscopy
- Surgical Innovation
Background:
- Traditional drainage of abdominal and pelvic abscesses involves percutaneous techniques or surgery.
- Surgical drainage carries significant morbidity and mortality risks.
- Percutaneous drainage often requires multiple interventions and prolonged catheterization.
Purpose of the Study:
- To review the current status and efficacy of Endoscopic Ultrasound (EUS)-guided drainage for gastrointestinal abscess collections.
- To highlight EUS as a minimally invasive alternative to traditional drainage methods.
Main Methods:
- Review of current literature on EUS-guided abscess drainage.
- Focus on the technique, outcomes, and limitations of EUS-guided interventions.
Main Results:
- Endoscopic ultrasound (EUS) enables effective internal drainage of abscesses.
- EUS is a minimally invasive technique with rapidly growing evidence of clinical efficacy.
- Data, though limited, increasingly supports EUS for abscess management.
Conclusions:
- EUS-guided drainage represents a promising, less invasive option for managing abdominal and pelvic abscesses.
- Further research is warranted to fully establish the role of EUS in abscess treatment.
- EUS offers a potential alternative to reduce morbidity associated with traditional drainage procedures.
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